Related Experiment Videos
[Acute epidural hematoma with extravasation on cerebral angiogram in an infant (author's transl)]
Insights
Early diagnosis and surgical evacuation of acute epidural hematoma in children, especially those with visible extravasation on cerebral angiograms, lead to excellent outcomes and prevent neurological deficits.
Area of Science:
- Pediatric Neurosurgery
- Neuroradiology
Background:
- Acute epidural hematomas are a significant cause of morbidity and mortality in children.
- Extravasation on cerebral angiography indicates active bleeding, a critical finding in traumatic brain injury.
Abstract:
The authors recently operated on a boy four years of age with acute epidural hematoma showing an extravasation on the cerebral angiogram. The hematoma (hematoma volume 125 ml) was evacuated 7 hours after the head injury. The postoperative course was quite uneventful, and he was discharged a month after surgery without any neurologic deficits. The authors reviewed the literature and found 4 cases of acute epidural hematoma with extravasations in infants and children. In all cases the operative results were good. The age incidence and frequency of occurence overall for acute epidural hematomas, extravasations on cerebral angiograms and their mechanism, and the length of time from injury to operation were also discussed. It should be emphasized that, for acute epidural hematoma in infants and children, the early diagnosis and early surgery are essential to save the patients.